Gebelt H
Psychiatr Neurol Med Psychol Beih. 1979;25:155-60.
A report is given on 162 cases (90 men, 72 women) ranging in age from 22-27 years, where the course of the disease, school performance, integration into professional life and social achievement has been followed over periods between 10 and 20 years. Of these patients 60 percent are free from attacks, and half of them have been for more than 10 years. Among those still suffering from attacks the great majority have psychomotor and combined fits. One quarter of the patients experienced a change in the type of attack in the course of the disease. The school performance and professional achievement of the patients are viewed in relation to the type of attack, duration of the disease and the period of freedom from attacks, and discussed. About 75 percent of the group had had satisfactory achievements at school and experienced smooth integration into working life, but only half of this percentage were still working in the occupation for which they were trained at the time of a follow-up examination. About 10 percent had to take up some other employment on account of the disease, whereas the rest gave various reasons. Social development was favorable for the majority of the patients. More than half of the women and one third of the men have married in the meantime. The crime rate was 3 percent.
报告了162例患者(90名男性,72名女性),年龄在22至27岁之间,对其疾病病程、学业表现、融入职业生活情况及社会成就进行了为期10至20年的跟踪。这些患者中,60%不再发作,其中一半已超过10年未发作。在仍有发作的患者中,绝大多数为精神运动性发作和混合性发作。四分之一的患者在疾病过程中发作类型发生了变化。根据发作类型、病程及无发作期,对患者的学业表现和职业成就进行了评估并讨论。该组中约75%在学校取得了令人满意的成绩,并顺利融入工作生活,但在随访检查时,仍从事所学职业工作的仅占该比例的一半。约10%的患者因疾病不得不从事其他工作,其余患者则给出了各种原因。大多数患者的社会发展情况良好。在此期间,超过一半的女性和三分之一的男性已经结婚。犯罪率为3%。